| NPI | 1215082565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL D BENNETT CEO 208-267-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: 745 HP & 1172 PA) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-06-28 |